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Embrace Foster Care, LLC
5014 Monument Avenue
Richmond, VA 23230
(757) 847-9385

Current Inspector: Jamie Morgan (276) 525-5656

Inspection Date: March 21, 2023 and March 23, 2023

Complaint Related: No

Areas Reviewed:
22VAC40-131 GENERAL PROVISIONS
22VAC40-131 ORGANIZATION AND ADMINISTRATION
22VAC40-131 PERSONNEL
22VAC40-131 PROVIDER HOMES
22VAC40-131 CHILDREN?S SERVICES
22VAC40-131 ADDITIONAL REQUIREMENTS FOR SPECIFIC PROGRAMS
22VAC40-80 THE LICENSE
22VAC40-80 THE LICENSING PROCESS
22VAC40-191 BACKGROUND CHECKS FOR CHILD WELFARE AGENCIES

Technical Assistance:
Discussion occurred regarding:

22VAC40-131-110 Received Date for Materials
22VAC40-131-180.B Documentation of notification to the applicant of status
22VAC40-131-250. Intake, Acceptance, and Placement
G. Prior to accepting a child for placement in a foster care home, treatment foster care home, short-term foster care home, or an independent living arrangement, the licensee shall gather, review, and document the following information in the child's file:
3. Current information on the child's:
a. Health:
2) For a child younger than one year old, the admission examination shall consist of a hospital summary and a physician-signed report of interim care no older than 30 days that documents the absence of abnormalities or if abnormalities are present, the report shall contain an explanation of abnormalities observed;

Comments:
An unannounced renewal inspection was conducted on 3/21/2023 from 2:45 p.m. to 5:40 p.m. by two (2) Licensing Specialists.

An entrance conference and preliminary findings review were conducted on the date of inspection. An Acknowledgment of Inspection form was completed and left on the date of inspection. An exit interview was conducted on 3/23/2023.

Number of children in care: 4
Number of approved provider homes: 5
The licensing inspector completed a tour of the physical plant that included the office setting and conditions.
Number of children?s records reviewed: 1
Number of provider homes reviewed: 2
Number of staff records reviewed: 4

50% of personnel records have been reviewed during the license period. Background checks for the Members and Managers of the Limited Liability Company were reviewed.

The evidence gathered during the inspection determined non-compliance with applicable standard(s) or law, and violation(s) were documented on the violation notice issued to the facility. The licensee has the opportunity to submit a plan of correction to indicate how the cited violation(s) will be addressed in order to return the facility to compliance and maintain future compliance with applicable standard(s) or law.

If the licensee wishes to provide a plan of correction: (i) type the plan on a separate Word document, (ii) identify the standard violation number being addressed, (iii) include the date the violation will be corrected, (IV) do not include any names or confidential information, and (V) return to the licensing inspector by email within five (5) business days of the exit interview.

Compliance with all applicable regulations and law shall be maintained and any areas of noncompliance must be corrected.

Within 15 calendar days of your receipt of the inspection findings (inspection summary, violation notice, and supplemental information), you may request a review and discussion of these findings with the inspector's immediate supervisor. To make a request for review and discussion, you must contact the licensing supervisor at the regional licensing office that serves your geographical area.

Regardless of whether a supervisory review has been requested, the results of the inspection will be posted to the DSS public website within 5 business days of your receipt of the Inspection Summary and/ or Violation Notice.

The department's inspection findings are subject to public disclosure.

Please Note: A copy of the findings of the most recent inspection are required to be posted on the premises of the facility.

Should you have any questions, please contact Dawn Caldwell, Licensing Inspector at 804-385-6864 or by email at dawn.caldwell@dss.virginia.gov

Violations:
Standard #: 22VAC40-131-200-A
Description: Violation:
Based on record review and interview, the agency failed to, prior to the placement of a child in the home, complete and document all required components of the home study for Foster Home 1 (FH1).

Findings:
1) Per 22VAC40-180.J.2.e.2, the home study requires the agency to use information to determine
That the applicant is physically and mentally capable of providing the necessary care for children as described in 22VAC40-131-290 L

2) 22VAC40-131-290.L states ?The provider applicant and each resident of the household who will be in a caretaking role for children placed in the home shall submit the results of a medical examination administered and signed by a licensed physician, his designee, or an official of a local health department. 1. The examination results shall include written examiner comments that address the applicant's or caretaker's mental and physical condition in relation to his ability to take care of a child. If concerns are noted, additional reports from specialists shall be obtained.?

3) The required medical examination report for the applicant in FH1 did not include written examiner comments that addressed the applicant's or caretaker's mental and physical condition in relation to his ability to take care of a child.

4) Staff 1 (S1) was interviewed.

5) S1 reviewed the medical examination report for the applicant in FH1 and acknowledged the information was addressed.

6) The findings were reviewed during the exit interview and?..

Plan of Correction: Not available online. Contact Inspector for more information.

Standard #: 22VAC40-191-40-D-1-c
Description: Violation:
Based on review of background check documentation, the agency failed to obtain, before 3 years since the most recent criminal history record check results, updated criminal history results for Member/Manager 1 (M1).

Findings:
1) Criminal record check results provided to the Licensing Specialist for M1 were dated 3/20/2020.
2) The findings were discussed during the preliminary findings review.
3) Staff 1 (S1) reported the request for the updated criminal record search results was submitted but the results had not been received.
4) S1 acknowledged the findings.

Plan of Correction: Not available online. Contact Inspector for more information.

Disclaimer:
This information is provided by the Virginia Department of Social Services, which neither endorses any facility nor guarantees that the information is complete. It should not be used as the sole source in evaluating and/or selecting a facility.

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